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Stoma care products represent a common and previously underreported source of peristomal contact dermatitis
Author(s) -
Cressey Brienne D.,
Belum Viswanath R.,
Scheinman Pamela,
Silvestri Dianne,
McEntee Nancy,
Livingston Vashti,
Lacouture Mario E.,
Zippin Jonathan H.
Publication year - 2017
Publication title -
contact dermatitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.524
H-Index - 96
eISSN - 1600-0536
pISSN - 0105-1873
DOI - 10.1111/cod.12678
Subject(s) - medicine , stoma (medicine) , dermatology , contact dermatitis , allergic contact dermatitis , surgery , allergy , immunology
Summary Background Peristomal dermatitis is a common complication for the >700 000 patients in the U nited S tates with an ostomy. The role of stoma skin care products in peristomal dermatitis is poorly understood. Objective To evaluate stoma skin care products as a cause of peristomal dermatitis. Methods A retrospective chart review of patients with peristomal dermatitis at four academic hospitals from J anuary 2010 to M arch 2014 was performed. Patient demographics, clinical information and use test and patch test results were documented. Results Eighteen patients identified as having peristomal dermatitis were tested. Twelve of these had peristomal contact dermatitis. We identified numerous stoma skin care products as triggers of irritant and/or allergic contact dermatitis. The most common stoma skin care product used and/or involved in dermatitis was Cavilon™ N o S ting B arrier F ilm. Conclusions Our data support a paradigm shift whereby healthcare workers treating patients with peristomal dermatitis, which is currently considered to be a reaction mainly to bodily fluids, must consider those products used to protect the skin as potential triggers for this disease. Therefore, patients with peristomal dermatitis should be tested with their stoma skin care agents to determine the need for removal or change of these products. Additionally, full ingredient labelling by manufacturers would help identify new allergens and irritants.